A patient states, "This is my fourth miscarriage." A response by the nurse that demonstrates active listening would be
a. "Having another miscarriage must be hard to accept."
b. "This is nature's way. You can be glad it happened."
c. "How lucky to have lost the baby so early in your pregnancy."
d. "I've had two miscarriages, so I know how you must feel."
ANS: A
Reflection is a strategy that is useful in active listening. The statement, "Having another miscarriage must be hard to accept" is an example of reflection, or putting into words the affective communication received from the patient. The statements, "This is nature's way. You can be glad it happened" and "How lucky to have lost the baby so early in your pregnancy" are insensitive and do not suggest active listening. The statement, "I've had two miscarriages, so I know how you must feel" is nurse centered, and therefore not an example of active listening.
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